{
  "url": "https://openlegislation.uk/local-authorities-conduct-of-referendumsengland-regulations-2012/schedule-5/part-8",
  "json_url": "https://openlegislation.uk/local-authorities-conduct-of-referendumsengland-regulations-2012/schedule-5/part-8.json",
  "legislation": "uksi/2012/323",
  "legislation_title": "The Local Authorities (Conduct of Referendums)(England) Regulations 2012",
  "legislation_url": "https://openlegislation.uk/local-authorities-conduct-of-referendumsengland-regulations-2012",
  "path": "schedule/5/part/8",
  "kind": "part",
  "number": "8",
  "heading": "Appendix of Forms",
  "text": "Note:—The forms contained in this Appendix may be adapted so far as circumstances require.\nForm of Ballot Paper: Question in referendum as specified in paragraph 1 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 4 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 5 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 6 of Schedule 1\nCorresponding Number List M1\nCorresponding Number List M2\nForm of Postal Voting Statement (for use where there is joint issue and receipt of postal ballot papers)\nForm of Postal Voting Statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined)\nOfficial Poll Card (to be sent to a voter voting in person)\nOfficial Postal Poll Card (to be sent to a voter voting by post)\nOfficial Proxy Poll Card (to be sent to an appointed proxy voting in person)\nOfficial Proxy Postal Poll Card (to be sent to an appointed proxy voting by post)\nBallot Paper Refusal List\nForm of directions for the guidance of the voters and proxies in voting\nForm of Certificate of Employment\nDeclaration to be made by the companion of a voter or proxy with disabilities\nForm of Ballot Paper: Question in referendum as specified in paragraph 1 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 4 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 5 of Schedule 1\nForm of Ballot Paper: Question in referendum as specified in paragraph 6 of Schedule 1\nCorresponding Number List M1\nCorresponding Number List M2\nPostal voting statement (for use where there is joint issue and receipt of postal ballot papers)\nFront of form\nRear of form\nPostal voting statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined)\nFront of form\nRear of form\nOfficial Poll Card (to be sent to a voter voting in person)\nFront of form\nRear of form\nOfficial postal poll card (to be sent to a voter voting by post)\nFront of card\nRear of card\nOfficial Proxy Poll Card (to be sent to an appointed proxy voting in person)\nFront of form\nRear of form\nOfficial proxy postal poll card (to be sent to an appointed proxy voting by post)\nFront of card\nRear of card\nBallot Paper Refusal List\nForm of directions for the guidance of the voters and proxies in voting\nForm of Certificate of Employment\nDeclaration to be made by the companion of a voter or proxy with disabilities",
  "extent": "E+W",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Words in Sch. 5 Pt. 8 list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(a) (with reg. 1(6)(7))"
    },
    {
      "type": "F",
      "label": "F2",
      "text": "Sch. 5 Pt. 8 Forms substituted (with effect in accordance with reg. 1(2) of the amending S.I.) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), Sch. 4 Pt. 2"
    },
    {
      "type": "F",
      "label": "F3",
      "text": "Sch. 5 Pt. 8 Forms substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 4 Pt. 2 (with reg. 1(5)-(7))"
    },
    {
      "type": "F",
      "label": "F4",
      "text": "Sch. 3 Pt. 8 Form inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(d), Sch. 8 Pt. 2 (with reg. 1(6)(7))"
    },
    {
      "type": "F",
      "label": "F5",
      "text": "Sch. 3 Pt. 8 Form substituted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(e), Sch. 8 Pt. 2 (with reg. 1(6)(7))"
    },
    {
      "type": "F",
      "label": "F6",
      "text": "Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (England) (Amendment) Regulations 2014 (S.I. 2014/924), regs. 1(3), 19(b)(v), Sch. 1 (with reg. 1(4))"
    },
    {
      "type": "F",
      "label": "F7",
      "text": "Sch. 5 Pt. 8 Form substituted (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), reg. 1(3), Sch. 3 Pt. 2 (with reg. 1(4))"
    },
    {
      "type": "C",
      "label": "C1",
      "text": "Sch. 5 Pt. 8 Forms modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 13(4)(5) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(4))"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/2012/323/schedule/5/part/8",
    "retrieved_at": "2026-10-29T01:42:18.750426+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}